Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

AMERICAN SPECIALTY PHYSICIANS GROUP INC

NPI: 1568992923 · MODESTO, CA 95354 · Emergency Medical Services (Emergency Medicine) Physician · NPI assigned 06/18/2017

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official THOMPSON, TAMMY controls 19+ related entities in our dataset. Read more

$5.11M
Total Medicaid Paid
143,277
Total Claims
60,373
Beneficiaries
19
Codes Billed
2018-02
First Month
2024-11
Last Month

Provider Details

Authorized OfficialTHOMPSON, TAMMY (VP FINANCE/CFO)
NPI Enumeration Date06/18/2017

Related Entities

Other providers sharing the same authorized official: THOMPSON, TAMMY

ProviderCityStateTotal Paid
CENTRAL VALLEY SPECIALTY HOSPITAL INC MODESTO CA $130.74M
COLUSA MEDICAL CENTER, LLC COLUSA CA $5.95M
GLENN MEDICAL CENTER, LLC WILLOWS CA $5.62M
MADERA COMMUNITY HOSPITAL MADERA CA $3.80M
COLUSA MEDICAL CENTER, LLC WILLIAMS CA $3.75M
COLUSA MEDICAL CENTER, LLC ORLAND CA $2.44M
COLUSA MEDICAL CENTER LLC COLUSA CA $2.33M
COLUSA MEDICAL CENTER, LLC RED BLUFF CA $2.09M
GLENN MEDICAL CENTER, LLC WILLOWS CA $1.73M
COLUSA MEDICAL CENTER, LLC ARBUCKLE CA $1.37M
COALINGA MEDICAL CENTER, LLC COALINGA CA $1.32M
GLENN MEDICAL CENTER, LLC WILLOWS CA $672K
GLENN MEDICAL CENTER, LLC WILLOWS CA $669K
PROGRESSIVE SPECIALTY THERAPY SERVICES LLC MODESTO CA $404K
PROGRESSIVE HOME HEALTH AND HOSPICE CARE, LLC MODESTO CA $389K
COALINGA MEDICAL CENTER, LLC COALINGA CA $254K
GLENN MEDICAL CENTER, LLC WILLOWS CA $85K
COLUSA MEDICAL CENTER LLC COLUSA CA $51K
1125 SIR FRANCIS DRAKE BOULEVARD OPERATING COMPANY, LLC KENTFIELD CA $3K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 2,766 $137K
2019 7,685 $268K
2020 6,396 $180K
2021 21,392 $571K
2022 27,015 $741K
2023 35,626 $1.10M
2024 42,397 $2.12M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99233 Prolong inpt eval add15 m 74,407 7,130 $2.56M
99284 Emergency department visit for the evaluation and management, high severity 16,085 15,597 $742K
99283 Emergency department visit for the evaluation and management, moderate severity 19,898 19,344 $662K
99232 Subsequent hospital care, per day, moderate complexity 12,301 2,086 $366K
99310 Prolong nursin fac eval 15m 4,793 919 $221K
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 3,194 3,126 $178K
99223 Prolong inpt eval add15 m 2,233 2,184 $126K
99239 Hospital discharge day management, more than 30 minutes 1,950 1,918 $82K
99282 Emergency department visit for the evaluation and management, low to moderate severity 4,429 4,326 $71K
93010 Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only 3,180 3,073 $31K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 191 143 $22K
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 44 44 $19K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 27 27 $15K
99497 183 172 $7K
99306 Prolong nursin fac eval 15m 93 90 $7K
99316 72 71 $3K
99238 Hospital discharge day management, 30 minutes or less 60 58 $2K
99309 Subsequent nursing facility care, per day, low to moderate complexity 124 52 $1K
12001 13 13 $785.60